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In some areas of southern Thailand upwards of 70% of the male population uses kratom on a daily basis. Kratom and its derivatives have been used as substitutes for Kratom 7-hydroxymitragynine Kampsville opium as well as for the management of opium withdrawal. Data on the incidence and prevalence of its use are lacking as physicians are generally unfamiliar with it and its use is not detected by typical drug screening Kratom 7-hydroxymitragynine Kampsville tests. Kratom metabolites can be detected by specialized mass spectrometry tests. Incidence of kratom use appears to be increasing among those who have been self-managing chronic pain with opioids purchased without a prescription and are cycling (but not quitting) their use. The pharmacological effects of kratom on humans are not well studied.
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